Term
1. Standards of practice address safe delivery of parenteral medications.
Nurses should have:
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Definition
a. Dr order
b. Follow facility policies
c. Validate your competency
d. Verify patient with 2 identifiers
c. Label all containers / iv bags and verify contents
f. Document in mar site used, dressing, infusate, dose and rate.
g. Use aseptic technique and follow necessary precautions.
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Term
2. To avoid medication errors, nurses should always follow which concept? |
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Definition
Six rights of medication administration.
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Term
3. Name the six rights of medication administration? |
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Definition
a. Drug
b. Dose
c. Route.
d. Time
e. Patient
f. Documentation.
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Term
4. True or False. Computerized medication ordering and administration is safer than manual ordering.
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Definition
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Term
6. What is a volume control chamber?
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Definition
A Delivery method used to administer meds and iv solution s for ped patients and/or small well controlled drugs.
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Term
7. Generally, how long should it take to infuse a med via a volume control chamber?
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Definition
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Term
| To successfully use the vol controlled delivery system, the nurse should follow which steps? |
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Definition
a. Calculate the amount of med to be delivered
b. Use the correct type of diluent soln.
c. Use the correct rate.
d. With ped patients, always double check the drug and dosage with another RN. |
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Term
| What is an intraperitoneal infusion? What is the main purpose of this administration. |
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Definition
Administration of a drug directly into the peritoneal cavity.
The purpose is to administer chemo agents. And peritoneal dialysis |
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Term
| What are the advantages of using IP infustion? |
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Definition
a. Hidden microscopic cancer cells are exposed.
b. Dose intesification is reached at IP sites.
c. IP chemo is diffused directly into the a cavity for prolonged exposure to the tumor.
d. Lower systemic chemo agents levels can be used for treatment. . |
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Term
| Whats the appropriate site for IP Sites? |
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Definition
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Term
| Whats the role of the nurse to a client with an IP infusion? |
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Definition
a. Premedicate for nausea
b. Administer 2 Liters of warm NS with chemo (37 degrees)
c. Infuse the chemo in a rapid rate over 30 - 180 mins
d. Do not use infusion pumps
e. Use 19 - 20 gauge right angle Huber needle.
f. Use occlusive dressing for the infusion site.
g. Pre fluse tubing with 10 ml of NS.
h. DO NOT, turn patient before infusion is completed.
i. After infusion is complete, turn and reposition patient at a rate of 15 mins per position ( i.e. supine, lateral)
j. Monitor for any leakage, breathing difficulties and check vital signs. |
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Term
| T/F Nurse should follow state guidelines |
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Definition
False
Also follow facility folicies |
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Term
| How many pt adentifiers did you need? |
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Definition
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Term
| To avoid accidental dosing? the nurse should always make sure that; name two thing |
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Definition
Label contents
verify contents |
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Term
| What two measures should the nurse take to avoid med errors? |
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Definition
Check Expiration dates
Label containers |
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Term
What does the nurse need to document
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Definition
Volume
Site
Dressing
infusate, dose and concentration
Rate
Assessment and response to therapy. |
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Term
| T/F When dealing with IVs,, sterile procedures need to be observed. |
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Definition
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Term
| T/F The nurse doesnt need to premedicate for nausea. |
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Definition
| False, premedication is needed for N/V |
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Term
| How many liters of fluid of NS is given with chemo. |
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Definition
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Term
| What rate should be used when administering chemo? |
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Definition
| 2 liters within 30 - 180 mins |
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Term
| T/F You do not use an infusion pump for IP infusion |
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Definition
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Term
| What extra supplies does the nurse need for IP infusion |
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Definition
20 gauge right angle Huber needle
Occlusive dressing
10 ml NS
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Term
| The nurse should use ...............mls of NS to flush the IV tubing |
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Definition
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Term
| T/F Can the nurse turn the patient during infusion? |
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Definition
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Term
How often should the nurse turn the pt after infusion?
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Definition
| Every 15 mins per position |
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Term
| In what order should a pt be turned after IP? |
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Definition
Every 15 mins per position
Left, right, supine and prone - 2 hours to distribute the solns evenly. |
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Term
| What should the nurse monitor during IP infusion? |
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Definition
| Leakage, Breathing difficulties and vital signs. |
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